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Incidence of Moxifloxacin serious adverse drug reactions in Pneumococcal infections virus infected patients detected by a Pharmacovigilance program by laboratory signals in a Tertiary hospital in Chhattisgarh (India) 印度恰蒂斯加尔邦某三级医院药物警戒项目实验室信号检测肺炎球菌感染病毒患者莫西沙星严重不良反应发生率
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00041
Vandna Dewangan, Ram Kumar Sahu, T. Satapathy
The direct reporting of adverse drug reactions by patients is becoming an increasingly important topic for discussion in the hospital of Pharmacovigilance. Voluntary adverse drug reaction (ADR) reporting is fundamental to medical drug safety surveillance; however, substantial under-reporting exists and is the main limitation of the system. At this time, hospital accepts consumer reports. The World Health Organization estimates that in 2005 and as well as 2019-2021 pneumococcal infections were responsible for the death of 1.6 million human worldwide. Pneumonia, the lungs become filled with fluid and inflamed, leading to breathing difficulties. For some people, breathing problems can become severe enough to require treatment at the hospital with oxygen or even a ventilator. The pneumonia that COVID-19 causes tends to take hold in both lungs. Moxifloxacin, a fluoroquinolone antibiotic, is used for the treatment of respiratory tract, pelvic inflammatory disease, skin, and intra-abdominal infections. Its safety profile is considered favorable in most reviews but has been challenged with respect to rare but potentially fatal toxicities. The most common adverse drug reaction (ADR) constipation is nausea, vomiting, fatigue, alopecia, drowsiness, myelosuppression, skin reactions, anorexia, mucositis, diarrhoea and Medicines that have been particularly implicated in adverse drug reaction-related hospital admissions include anti-platelets, anticoagulants, cytotoxics, immunosuppressant’s, diuretics, anti-diabetics and antibiotics.
患者直接报告药物不良反应正日益成为药物警戒医院讨论的重要话题。药品不良反应(ADR)自愿报告是医疗药品安全监测的基础;然而,存在大量的报告不足,这是该制度的主要限制。此时,医院接受消费者报告。世界卫生组织估计,2005年以及2019-2021年,肺炎球菌感染导致全球160万人死亡。肺炎,肺部充满液体并发炎,导致呼吸困难。对一些人来说,呼吸问题可能严重到需要在医院接受吸氧甚至呼吸机治疗。COVID-19引起的肺炎往往会在两个肺中扎根。莫西沙星是一种氟喹诺酮类抗生素,用于治疗呼吸道、盆腔炎、皮肤和腹腔内感染。其安全性在大多数评论中被认为是有利的,但在罕见但潜在致命的毒性方面受到挑战。最常见的药物不良反应(ADR)便秘是恶心、呕吐、疲劳、脱发、嗜睡、骨髓抑制、皮肤反应、厌食症、粘膜炎、腹泻。与药物不良反应相关的住院治疗特别涉及的药物包括抗血小板、抗凝血剂、细胞毒素、免疫抑制剂、利尿剂、抗糖尿病药和抗生素。
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引用次数: 0
A Study about the pattern of adverse effects of various oncology drugs in a Tertiary Care Hospital of North East India 印度东北部某三级医院各种肿瘤药物不良反应模式的研究
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00036
Lakshyajeet Nath, Urmi Choudhury, M. Lahkar
The aim of the study is to observe the pattern of adverse drug reactions (ADRs) with the usage of various anti-cancer drugs in a tertiary care hospital of North East India. The study is a prospective, observational evaluation of the ADRs which was conducted over a period of 1 year. During the study period 59 cancer patients receiving chemotherapy were analysed from which a total of 79 ADRs were identified and collected which occurred during and after the cancer treatment. Maximum cases of ADR recorded in the study are mucositis, respiratory disorder, neuropathy, constipation, itching etc. On causality assessment, it was observed that nearly 92% ADRs are considered as possible, 6% are probable and 2% are unlikely. Although, the reporting of ADR is very minimal by the healthcare professionals, this study focuses on the various common ADR associated with the use of anti-cancer agents in the treatment of cancer. The information from the study might be helpful in identifying and minimizing preventable ADRs, while enhancing the knowledge of the healthcare professionals to deal with them more efficiently. Hence the study was done to record and analyze the pattern of adverse drug reaction from oncology drugs.
本研究的目的是观察印度东北部一家三级医院使用各种抗癌药物的药物不良反应(adr)模式。该研究是一项前瞻性的观察性评估,对adr进行了为期1年的评估。在研究期间,对59名接受化疗的癌症患者进行了分析,共发现和收集了79例发生在癌症治疗期间和之后的不良反应。研究中记录的ADR最多的病例是粘膜炎、呼吸系统疾病、神经病变、便秘、瘙痒等。在因果关系评估中,观察到近92%的adr被认为是可能的,6%是可能的,2%是不太可能的。尽管医疗专业人员对不良反应的报道很少,但本研究的重点是在癌症治疗中使用抗癌药物相关的各种常见不良反应。该研究的信息可能有助于识别和减少可预防的不良反应,同时提高医疗保健专业人员的知识,以更有效地处理这些不良反应。因此,对肿瘤药物的不良反应模式进行记录和分析。
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引用次数: 1
A Novel Bacterial Culture Media: Fruit Waste Agar 一种新型细菌培养基:果渣琼脂
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00039
Dhiraj S. Girase, Rahulsing G. Girase, Prasad P. Girase, Neha R. Jaiswal
The development of microbiology began in the 19th century with the invention of the culture medium. Bacterial culture was the first method to study human microbiota in 1860. Louis pasteur was the first to propagate bacteria on culture media. The culture media provides the essential nutrients such as carbohydrates, protein, vitamins and some growth factors for the proper development of bacteria. Nowadays, these growth medias are prepared by different expensive chemical ingredients in laboratories for research experiments, which ultimately makes our experiments expensive. Instead of using high-cost culture media, fruit waste material could prove to be a good alternate source for the production of low-cost media. The waste generated in household practices and kitchen includes vegetables and fruit waste. It is waste that almost every house generates every day. It can serve as a good source of nutrients and vitamins for in microorganisms. Hence these materials can be used to formulate solid media for the growth of bacteria. In the current study waste material like mango peels, banana peels, lemon peels and ground nut shell have been included to formulate the media. This material was collected from kitchen waste and vegetable market. Comparing the growth of organism (lactobacillus bulgaricus) standard commercial media and fruit waste with agar, it was found that the media prepared from fruit waste serves as a good and inexpensive source of nutrients for many bacteria. Thus, it can good be feather and used commercially for isolation and cultivation of various microorganisms.
微生物学的发展始于19世纪培养基的发明。细菌培养是1860年研究人体微生物群的第一种方法。路易斯·巴斯德是第一个在培养基上繁殖细菌的人。培养基为细菌的正常发育提供必需的营养物质,如碳水化合物、蛋白质、维生素和一些生长因子。现在,这些生长介质都是在实验室里用各种昂贵的化学成分制备出来进行研究实验,最终导致我们的实验成本很高。而不是使用高成本的培养基,水果废料可以证明是生产低成本培养基的一个很好的替代来源。家庭实践和厨房产生的废物包括蔬菜和水果废物。几乎每家每户每天都会产生垃圾。它可以作为微生物的营养和维生素的良好来源。因此,这些材料可以用来配制细菌生长的固体培养基。本研究采用芒果皮、香蕉皮、柠檬皮、碎坚果壳等废弃物配制培养基。这种材料是从厨房垃圾和蔬菜市场收集的。通过对保加利亚乳杆菌标准商业培养基和水果废物与琼脂的生长情况进行比较,发现水果废物制备的培养基对许多细菌来说是一种物美价廉的营养来源。因此,它可以很好地用于各种微生物的分离和培养。
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引用次数: 0
An Updated Review on Doxycycline 多西环素的最新综述
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00043
Rahul Jodh, M. Tawar, Kiran Gomkale, Sakshi Jari, Jafer Toply, Nawed Faisal
The structural isomer of the tetracycline family is doxycycline. It's a semi-synthetic medication with antibacterial properties against a wide range of germs and excellent intracellular penetration. Bacterial resistance can take many different forms, although the ribosomal or plasmid pathways are the most common. Propionibacterium acnes has gained antibiotic resistance in most cases due to an ARNr mutation. Doxycycline has anti-inflammatory effects that manifest themselves through a variety of methods. Doxycycline is quickly absorbed and practically fully absorbed in the GI tract. Food does not affect absorption. With 90% of the molecule attached, it has a strong but fragile affinity for proteins. The majority of tissues and the extravascular compartment are swiftly absorbed. The most common method of excretion is through the bile canal. The bile channel is used for elimination. Tubular reabsorption in the kidney slows down. If you have acne, the daily dosage should be between 50 and 100 micrograms. Despite the scarcity of high-quality assays, there is widespread professional support for their use. It is also effective for rosacea at the same dosage. Doxycycline is being used as a backup antibiotic for chlamydial and mycoplasma urethritis. Additional diseases that can be treated as primary or secondary alternatives include treponematoses, brucellosis, pastoralizes, borreliosis, rickettsiosis, and cholera. Some non-infectious illnesses have been treated with doxycycline. The most common side effects are those that affect the digestive system. Esophageal poisoning has been treated with tablets and plenty of water.
四环素家族的结构异构体是强力霉素。这是一种半合成药物,具有抗菌性能,可以抵抗多种细菌,并具有良好的细胞内渗透性。细菌耐药可以采取许多不同的形式,尽管核糖体或质粒途径是最常见的。由于ARNr突变,痤疮丙酸杆菌在大多数情况下获得了抗生素耐药性。强力霉素具有抗炎作用,通过多种方法表现出来。强力霉素在胃肠道中被迅速吸收并几乎完全吸收。食物不影响吸收。有90%的分子附着,它对蛋白质有很强但很脆弱的亲和力。大多数组织和血管外腔室被迅速吸收。最常见的排泄方法是通过胆管。胆汁通道用于排泄。肾小管重吸收减慢。如果你有痤疮,每天的剂量应该在50到100微克之间。尽管缺乏高质量的检测方法,但它们的使用得到了广泛的专业支持。在相同的剂量下,它对酒渣鼻也有效。强力霉素被用作衣原体和支原体尿道炎的备用抗生素。可作为初级或次级替代治疗的其他疾病包括密螺旋体病、布鲁氏菌病、巴氏菌病、疏螺旋体病、立克次体病和霍乱。一些非传染性疾病已经用强力霉素治疗。最常见的副作用是影响消化系统的副作用。食道中毒是用药片和大量的水治疗的。
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引用次数: 1
Drug Interaction of Minoxidil and Himplasia with Oral Anti Diabetic Drug Sitagliptin in Diabetic Rats 米诺地尔、欣普拉西亚与口服抗糖尿病药物西格列汀对糖尿病大鼠的相互作用
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00037
Dhanapuram Akhila Banu, Gopi Mareedu, Vivek B, Velmurugan C
Aim and Objective: Sitagliptin is given as an oral antidiabetic drug to treat Diabetes Mellitus. Minoxidil and himplasia may be co-prescribed along with sitagliptin to treat hypertension and BPH respectively. As such no information is available regarding the interaction taking place between sitagliptin, minoxidil and himplasia. Hence the present work has been aimed to find out the interaction with among the above said drugs in rodent model, since such studies cannot be performed in humans. Methods: Studies were conducted in normal and alloxan induced diabetic rats with oral doses of 9mg/kg B.W of sitagliptin, 9mg/kg B.W of minoxidil and 54mg /k g of himplasia and their combinations with adequate washout periods in between the treatments. Blood samples were collected at regular time intervals in rats through retro orbital puncture. All the blood samples were analyzed for blood glucose by GOD/POD method in pharmacodynamic studies and the serum sitagliptin concentrations were estimated by UV Spectrophotometry. Serum insulin was estimated by chemiluminescence assay. Results: Sitagliptin showed hypoglycemic action in both normal and diabetic rats and the peak action was observed at 6 h. Hyperglycemia was observed with minoxidil at 1st hour, hypoglycemia was observed with himplasia at 4th hour and the combination of minoxidil and himplasia showed biphasic response in blood glucose levels. The same responses were observed even in combination with sitagliptin. The serum sitagliptin concentrations were not altered by the co-administration of drugs. Serum insulin levels were inhibited by administration of minoxidil and potentiated by himplasia and initial reduction followed by surge observed with combination of minoxidil and himplasia. The similar responses were observed when co-administered with sitagliptin. Conclusion: Thus it could be concluded that the combination of minoxidil and himplasia should be taken with care for clinical benefits in diabetic patients. However, further studies should be carried out in non rodent species and in clinical settings are warranted.
目的与目的:西格列汀作为口服降糖药治疗糖尿病。米诺地尔和欣普拉西亚可与西格列汀合用分别治疗高血压和前列腺增生。因此,没有关于西格列汀、米诺地尔和欣普拉西亚之间相互作用的信息。因此,本研究的目的是在啮齿动物模型中找出上述药物之间的相互作用,因为此类研究无法在人体中进行。方法:采用西格列汀9mg/kg B.W、米诺地尔9mg/kg B.W、欣帕拉西亚54mg /kg的口服剂量,并在给药间隙给予足够的洗脱期,对正常和四氧嘧啶诱导的糖尿病大鼠进行研究。采用眶回穿刺法定期采集大鼠血液样本。药效学研究采用GOD/POD法测定血糖,紫外分光光度法测定血清西格列汀浓度。用化学发光法测定血清胰岛素。结果:西格列汀对正常大鼠和糖尿病大鼠均有降糖作用,6 h降糖作用达到峰值。米诺地尔给药1 h出现高血糖,米诺地尔给药4 h出现低血糖,米诺地尔与欣普拉西亚合用血糖呈双相反应。即使与西格列汀联合使用,也观察到相同的反应。血清西格列汀浓度未因联合用药而改变。米诺地尔可抑制血清胰岛素水平,而米诺地尔和米诺地尔联合使用后,胰岛素水平开始下降,随后升高。当与西格列汀联合使用时,观察到类似的反应。结论:糖尿病患者应谨慎使用米诺地尔与欣帕拉西亚合用,以获得临床疗效。然而,进一步的研究应该在非啮齿动物物种和临床环境中进行。
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引用次数: 0
Review on bagworms (Lepidotera: Pyschidae) study in India 标题印度袋虫研究概况(鳞翅目:袋虫科)
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00045
Satendra Kumar Induria, A. Agrawal, Atanu Kumar Pati
Bagworms (Lepidotera: pyschidae) can be termed as switching pest, is a polyphagus defoliator of economically and ecologically beneficial plants traced in varied host ranging from ornamental plants to huge forest trees. Life history of some species studied intensively had revealed the potentiality of this phytophagus family. Case of bagworm been a salient characteristic of psychidae was known to utilize by tribes of Bastar for annual rainfall determination. Bagworm infestations were examined by many workers in selected region of Chhattisgarh and Kerala. Newly emerging pest of Indian forest has the potential to cause huge ecological and economical damage as proved earlier in region of Uttrakhand (Tons valley), Himachal Pradesh and Jammu and Kashmir. Control measure specific to Indian species of bagworm is needed to deal the prevailing situation. The Indian peninsula and Himalayan region had remained untouched for exploration related to bagworms biodiversity. The available literature points clearly towards the need to initiate and explore more on behavior, biology, prevalence and integrated strategic methods to control bagworms infestation.
袋虫(鳞翅目:袋虫科)是一种多食性的换叶害虫,是一种经济和生态上有益的植物,从观赏植物到高大的森林树木,寄主多种多样。对一些物种的生活史进行了深入研究,揭示了该植物家族的潜力。bagworm是精神病科的一个显著特征,被巴斯塔部落用来确定年降雨量。在恰蒂斯加尔邦和喀拉拉邦选定的地区,许多工人检查了Bagworm虫害。印度森林新出现的有害生物有可能造成巨大的生态和经济破坏,正如早些时候在北阿坎德邦(顿山谷)、喜马偕尔邦以及查谟和克什米尔地区所证明的那样。需要针对印度品种的bagworm采取特定的控制措施来处理目前的情况。印度半岛和喜马拉雅地区一直没有受到与bagworm生物多样性有关的探索。现有的文献清楚地指出,需要启动和探索更多的行为,生物学,流行和综合战略方法来控制袋虫的侵扰。
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引用次数: 0
Comparative Phyto and Physico-chemical Standardization of Fresh and Different market samples with the Anti-inflammatory Studies of Fruit Parts of Malva sylvestris L. 新鲜和不同市售样品植物和理化标准的比较及锦葵果部抗炎研究。
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00038
Akhlaq Mustafa, Mohammed Ali
Different extracts and the powder of fruits of Malva sylvestris L. (Malvaceae) are traditionally used in the treatment of sore throat, inflammatory chronic bronchitis, jaundice and urinary discharge diseases, and were tested for anti-inflammatory activity in albino rats. The aqueous and ethanol extracts showed significant anti-activity against carrageenan-induced paw oedema. The study includes a comparative Phyto and physicochemical study of fresh and different market samples of the drug, which was carried out under various parameters like successive extractability values, total ash, acid insoluble ash, water soluble ash, alcohol soluble matters, water-soluble matters, pH values of 1% and !0% aqueous solutions, moisture contents, total phenolics, tannins, resins and screening of phytochemical constituents in different extracts. Quantitative elemental analysis by Atomic Absorption Spectrophotometer and the study of characteristics of oil so obtained from petroleum ether extract e.g. saponification value, acid value, peroxide value, ester value, specific gravity, unsaponifiable matter etc. and thin layer chromatography in different extracts were also reported. Beside, the composition of fatty acids was found to be as Lauric (1.87%), Myristic (6.04%), Palmitic (37.53%), stearic (9.93%), Oleic (26.17%), Linoleic (14.36%) and (C20-C22) (4.03%).
Malva sylvestris L. (malvacae)果实的不同提取物和粉末传统上用于治疗喉咙痛、炎症性慢性支气管炎、黄疸和尿流疾病,并在白化大鼠中进行了抗炎活性测试。水提物和乙醇提物对卡拉胶诱导的足跖水肿具有显著的抗活性。该研究包括对该药物新鲜样品和不同市场样品的植物和物理化学进行比较研究,并在连续提取值、总灰分、酸不溶灰分、水溶性灰分、醇溶物、水溶性物质、1%和0%水溶液的pH值、水分含量、总酚类物质、单宁、树脂和筛选不同提取物中的植物化学成分等参数下进行研究。用原子吸收分光光度计进行了定量元素分析,研究了石油醚提取物的皂化值、酸值、过氧化值、酯值、比重、不皂化物等特征,并对不同提取物进行了薄层色谱分析。脂肪酸组成主要为月桂酸(1.87%)、肉豆蔻酸(6.04%)、棕榈酸(37.53%)、硬脂酸(9.93%)、油酸(26.17%)、亚油酸(14.36%)和(C20-C22)(4.03%)。
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引用次数: 1
Implication of Data Obtained from Real Time Stability Studies of Pharmaceutical Preparations 药物制剂实时稳定性研究数据的意义
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00035
Oloninefa S. D, Aisoni J. E, Areo A. J, Akomolafe D. O, A. M. E., Alli A. I, A. A. A.
The major reason for carrying out stability studies of a drug product is to establish the shelf life of a drug during the period of storage so as to guarantee its quality, effectiveness and safety. Real time stability studies data from 2018-2022 were obtained from selected pharmaceutical industries located within North Central, Nigeria. The analysis of variance (ANOVA) of the data obtained for the real time stability studies was carried out using IBM SPSS Statistics Version 23. The results obtained showed that both chemical and microbiological parameters checked were within the pre-set specifications despite the changes in the results as the storage increases due to environmental factors such as: temperature, humidity, light, exposure to oxygen and container –closure system used for the packaging of the drug product. Pathogenic bacteria such as: Escherichia coli, Staphylococcus aureus, Salmonella typhimurium and Pseudomonas aeruginosa recorded 0.00 cfu/ml and the values obtained for total viable aerobic mesophilic bacteria plate count and fungi were within the pre-set specifications while Staphylococcus aureus and Candida albicans were sensitive to Methylated Spirit. There was a significant difference in the data analysed (P<0.05). The implication of this study is that the drug product may not be stable if the shelf life increases beyond what was stated for them. Hence, these results provided clues to how the quality of the product changes with time under different environmental factors (temperature, relative humidity, exposure to oxygen and light) and the interaction between the drug product and container-closure system used. This study suggests the need for pharmaceutical industries to continuously carry out stability studies of drug products in order to know the changes that may likely occur during the storage and to establish the shelf life of the drug product.
进行药品稳定性研究的主要目的是为了确定药品在贮存期间的保质期,以保证药品的质量、有效性和安全性。2018-2022年的实时稳定性研究数据来自尼日利亚中北部选定的制药行业。使用IBM SPSS Statistics Version 23对实时稳定性研究获得的数据进行方差分析(ANOVA)。结果表明,尽管由于环境因素(如温度、湿度、光照、暴露于氧气和用于药品包装的容器封闭系统)的储存时间增加,结果会发生变化,但检查的化学和微生物参数均在预先设定的规格范围内。致病菌如:大肠杆菌、金黄色葡萄球菌、鼠伤寒沙门菌和铜绿假单胞菌记录0.00 cfu/ml,获得的总活氧嗜温菌平板计数和真菌值在预先设定的规范范围内,而金黄色葡萄球菌和白色念珠菌对甲基化精神敏感。两组数据分析差异有统计学意义(P<0.05)。这项研究的含义是,如果保质期超过规定的时间,药品可能不稳定。因此,这些结果为在不同环境因素(温度、相对湿度、暴露于氧气和光线)下产品质量如何随时间变化以及药品与所用容器封闭系统之间的相互作用提供了线索。本研究提示制药行业有必要持续开展药品稳定性研究,以了解药品在储存过程中可能发生的变化,并确定药品的保质期。
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引用次数: 1
Gullian Barr Syndrome – A Rare Disease Case Report Gullian Barr综合征-一个罕见的疾病病例报告
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00040
Shaik Asha Begum, T. V. Kumar, Shaik Abdul Rahaman, S. Rani, Sreya Kosanam, V. Y.
Guillain-Baree syndrome also called guillain–Barré–Strohl syndrome, Landry's paralysis, post - infectious polyneuritis whichis a rare, at one or two cases per 100, 000 people every year, where auto-immune disorder in which a persons own immune system damaged the nerves, causing muscule weakness and sometimes paralysis. GBS can cause symptoms that last for a few weeks to several years. Most people recover fully, but some have permanent nerve damage. some people have died of GBS. Several things are known to tigger GBS. About two-thirds of people with GBS had diarrhea or a respiratory illness several weeks before developing symptoms. Infection with campylobacter jejuni, which causes diarrhea, is one of the most common risk factors for GBS. People can develop GBS after some other infections, such as flu, cytomegalovirus, Epstein barr virus, and zika virus. Very rarely, people have developed GBS in the days or weeks after receiving certain vaccines. It can be caused by campylobacter infection that is diagnosed when a laboratory tests detect campylobacter bacteria in stool, body tissue, or fluids. The test could be a culture that isolates the bacteria or a rapid diagnostic test that detects genetic material of the bacteria. The major aim of this case report is to present a classic case of this condition, to highlight an awareness of differing treatment options, and to advocate referral to a given its physician potential severity. Treatment for GBS including antibiotics, drink extra fluids as long as diarrhea lasts, plasma exchange, immunoglobulin therapy2.
吉兰-巴里综合征也被称为吉兰- barr - strohl综合征,兰德里麻痹症,感染性多神经炎,这是一种罕见的疾病,每年每10万人中有一到两个病例,这是一种自身免疫系统疾病,患者自身免疫系统受损神经,导致肌肉无力,有时甚至瘫痪。GBS的症状可能持续数周至数年。大多数人完全康复,但有些人会有永久性的神经损伤。有些人死于GBS。已知有几件事会引发GBS。大约三分之二的GBS患者在出现症状前几周曾出现腹泻或呼吸道疾病。引起腹泻的空肠弯曲杆菌感染是GBS最常见的危险因素之一。人们在感染了流感、巨细胞病毒、爱泼斯坦巴尔病毒和寨卡病毒等其他疾病后也会患上GBS。很少有人在接种某些疫苗后几天或几周内患上GBS。它可以由弯曲杆菌感染引起,当实验室检测到粪便、身体组织或液体中的弯曲杆菌时,就可以诊断出弯曲杆菌感染。该测试可以是分离细菌的培养,也可以是检测细菌遗传物质的快速诊断测试。本病例报告的主要目的是提出一个经典病例的这种情况下,强调不同的治疗方案的认识,并提倡转诊到一个给定的医生其潜在的严重性。治疗GBS包括抗生素,只要腹泻持续就多喝水,血浆交换,免疫球蛋白治疗。
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引用次数: 0
Review on Spinal Muscular Atrophy 脊髓性肌萎缩症研究进展
Pub Date : 2022-11-14 DOI: 10.52711/2321-5836.2022.00042
Omkar A. Devade, Rohan D. Londhe, Nikhil M. Meshram
Spinal muscular atrophy (SMA) is the second leading genetic, autosomal recessive disorder with progressive weakness of skeletal and respiratory muscles, leading to progressive paralysis with muscular atrophy, significant disability. SMA predominantly affects on children and represents the most common cause of hereditary infant mortality. Spinal muscular atrophy caused by mutations in the survival motor neuron 1 (SMN1) gene and a consequentdecrease in the SMN protein leading to lower motor neuron degeneration. The clinical features of Spinal muscular atrophy are caused by specific degeneration of a-motor neurons in the spinal cord, leading to muscle weakness, atrophy and, in the majority of cases, premature death. Encouraging results from phase II and III clinical trials have raised hope that other therapeutic options will enter soon in clinical practice. The common genetic etiology and recent progress in pre-clinical models suggest that SMA is well-suited for the development of therapeutic regimens. This review covers the available data and the new challenges of SMA therapeutic strategies.
脊髓性肌萎缩症(SMA)是第二大遗传常染色体隐性疾病,骨骼肌和呼吸肌进行性无力,导致肌肉萎缩进行性瘫痪,严重残疾。SMA主要影响儿童,是遗传性婴儿死亡的最常见原因。脊髓性肌萎缩是由存活运动神经元1 (SMN1)基因突变和SMN蛋白减少引起的,从而导致运动神经元退化程度降低。脊髓性肌萎缩症的临床特征是由脊髓a-运动神经元的特异性变性引起的,导致肌肉无力、萎缩,并在大多数情况下导致过早死亡。II期和III期临床试验令人鼓舞的结果为其他治疗方案很快进入临床实践带来了希望。常见的遗传病因和临床前模型的最新进展表明,SMA非常适合开发治疗方案。这篇综述涵盖了SMA治疗策略的现有数据和新挑战。
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引用次数: 0
期刊
Research Journal of Pharmacology and Pharmacodynamics
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